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Video Transcript
The surgery is chosen to address and correct where that pain is coming from and to remove those structures or fuse and stabilize those structures so that there is no longer a reason for pain. And then the surgeon has to decide which techniques are the best in his hands - which has he been trained for, what he's the most experienced with. Most surgeons who are, either orthopedic surgeons or neurosurgeons, doing a lot of spine surgery usually have multiple approaches that they can fit to the individual patient because of their body confirmation, because of prior surgery, either in the abdomen or in the back, it may persuade the surgeon to choose an alternative route to get the same outcome.

Spine fusion is a technique spine surgeons use to immobilize one segment of the spine to the next segment of the spine. It can be done in the cervical region, the thoracic or chest region, or most commonly really in the lumbar spine or low back area. And there are three main joints to the spine. The disc is actually a type of a joint, and then there are two smaller joints on the back side of the spine. And classically most fusions have been done from the back side of the spine, making sure those facet joints get fused as well as that whole segment. And there are two little arms that stick out from each vertebral body, those are called the transverse processes, and bone can be placed between those processes on the left down to the next level, on the right down to the next level or down to the pelvis if you are at the lowest level. And then that bone heals and immobilizes that segment so that you should no longer have pain from the motion of those joints, particularly the posterior joints. An interbody fusion can be done from multiple approaches - it can be done from the front, which is called an anterior spinal fusion or interbody fusion because you remove disc material, you put bone into that evacuated space and then the bone heals to the segment above and the segment below. And that's an extremely strong fusion because of the mass of bone you can get in and also because the anterior column of the spine is the portion of the spine that takes the most stress eighty to ninety percent of the normal biomechanical situation. So that interbody fusion can be done from the front as I've described, from the side, from a posterior-lateral, which is kind of obliquely off the midline, or from almost directly off the midline on each side. When those fusions are done in the interspace as well as out on the sides posteriorly, that's when we get the highest fusion rates.

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Back Surgery Video: How Spinal Fusion Stops Back Pain

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Full Articles Related to this Video: Video Transcript The surgery is chosen to address and correct where that pain is coming from and to remove those structures or fuse and stabilize those structures so that there is no longer a reason for pain.

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Anterior cervical corpectomy video including animated walkthrough of the back surgery and a full description.

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L5-S1 OLIF Demonstration by Richard Hynes, MD

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L5-S1 OLIF Demonstration was performed by Richard Hynes, MD at the Seattle Science Foundation for the 2nd Annual Advanced Lateral Approaches to the Spine Course. http://www.seattlesciencefoundation.org Seattle Science Foundation is a non-profit organization dedicated to the international collaboration among physicians, scientists, technologists, engineers and educators.

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Lateral Lumbar Interbody Fusion (XLIF) Video

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Lateral lumbar interbody fusion (XLIF) is a minimally invasive surgical procedure performed through the patient's side to avoid major back muscles. This video explains the procedure.

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Anterior Cervical Discectomy and Fusion (ACDF) Video

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An anterior cervical discectomy involves removing a cervical herniated disc in order to relieve spinal cord or root pressure to alleviate corresponding pain.

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Spinal fusion surgery video with animated description of spinal fusion and information about underlying conditions such as degenerative disc disease.

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ALIF (Anterior Lumbar Interbody Fusion) Video

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Interactive video explaining the ALIF or anterior lumbar interbody fusion surgery, its benefits and indications.

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Craniotomy, Evacuation of Epidural Hematoma

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REAL-LIFE event. Craniotomy, evacuation of epidural hematoma. From start to finish, including the 100 mph drive to the hospital at 2AM!

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This patient presented to the ER having been struck in the head. He sustained a complex frontal bone fracture, orbital blowout fracture and a frontal epidural hematoma. He underwent an emergent craniotomy, evacuation of the epidural blood and orbital reconstruction.

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Shows the opening of the cranium and removal of the brain in real time. Taken during the Fall 2016 semester.

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Central Nervous System: Crash Course Anatomy & Physiology #11

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http://strykerivs.com/vertebroplasty Learn about Stryker's iVAS(R) Inflatable Vertebral Augmentation System for use in treating vertebral compression fractures (VCFs). The iVAS inflatable balloon system meets your needs for procedure customization and accuracy based on fracture anatomy and presentation. Featuring a stiff distal catheter for easy insertion into a flexible proximal catheter, iVAS has the features you'd expect for treatment of VCFs.

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Animation of Spinal Cord Stimulator Implant Procedure

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http://bionicmedicalinstitute.com/spinal-cord-stimulator-implant/what-are-the-steps-involved-with-obtaining-a-spinal-cord-stimulator/ From Bionic Medical Institute: (866) 433-0363 A spinal cord stimulator implant, known as neuromodulation, is often an excellent last resort treatment when previous treatments have failed. A stimulator is an implantable device that interrupts pain signals before they have the chance to reach the brain.